AMBER E MANVILLE
Physical Therapist


Address: 790 E Flat Hill Rd, Southbury, CT 06488-1132

AMBER E MANVILLE (Credential# 1621304) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.

Business Overview

AMBER E MANVILLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012131. The credential type is physical therapist. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 790 E Flat Hill Rd, Southbury, CT 06488-1132. The current status is active.

Basic Information

Licensee Name AMBER E MANVILLE
Credential ID 1621304
Credential Number 14.012131
Credential Type Physical Therapist
Business Address 790 E Flat Hill Rd
Southbury
CT 06488-1132
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-02-11
Effective Date 2019-12-01
Expiration Date 2020-11-30
Refresh Date 2019-10-01

Other licenses

ID Credential Code Credential Type Issue Term Status
1048687 63.001234 Physical Therapist Assistant 2012-03-08 2018-12-01 - 2019-11-30 INACTIVE

Office Location

Street Address 790 E FLAT HILL RD
City SOUTHBURY
State CT
Zip Code 06488-1132

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Competitor

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City SOUTHBURY
Zip Code 06488
License Type Physical Therapist
License Type + County Physical Therapist + SOUTHBURY

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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